HomeMy WebLinkAboutHomestead_Spitler STATg FORM 5354,9(R3/9-10) TRFASURER FORSt TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS.2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL.GOVERNMENT FINANCE IC61.I"-8.1
p ;4:: `IMPORTANT NOTICE TO•HOMESTEAD PROPERTY OWNERS`; -- . .
Individuals and married couples are limited to one homestead standard deduction. As the receipt of this
deduction becomes more beneficial, there is more incentive than ever for homestead fraud. Homestead fraud
itauses higher tax bills for all; therefore, HEA 1344-2009 requires taxpayers who receive the homestead
Wadard deduction to verify that they are eligible to receive the benefit and to provide additional identifying
information necessary to allow county government to better monitor homestead filings. This information/
will be kept confidential and can only be accessed by authorized county officials. The Department of Loc 1
Government Finance will use this information to create tools that will help county officials eliminate
homestead fraud. I
;' PAR Ie,PROP ' Y :'FORMA ION
Taxpayer Name PrOperb'Address State Parcel Number Leal Description: !,
Kevin 1 Spider 220 E MONROE ST 26-12-07-400-003.208-028 WILLIAMS 2ND ENLG 14
PRINCETON IN 47670
Complete and return to: II0]!1000l1]ID0191[111 DifiluuIftllig 10 H
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
, .7. +. ': f. ' .:I` .- 4' . : ., :::::.;_,PART 2:-.TAXPAYER INFORMATION-- ,'
Owner I First Middle _ - - last
'eV/10 ei�-Rs �.� "1 /a r Maghg Address(n street,city.state and ZIP code) 1"'� I I
as property address
02JZ 0 .C- ri')o/2..roe SI •
Middle Last
Mailing Address(nunter and street,city,stale and ZIP code) I I same as property address
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is eligible to receive the
homestead standard deduction on this property.Each undersigned also understands that,by claiming additional homestead deductions unlawfully,he or
she may be liable for back taxes and substantial financial penalties. )
Owned 1 /j Date
Tom/. : `. PART 4i ADDITIONAL INFORMATION " -
FILE i li
DEC 31 2012
GIBSON COUNTY AUDITOR
° CLAIM FOR HOMESTEAD PROPERTY TAX �
CREDIT/STANDARD DEDUCTION � � � �
` � S State Form 5073 (RB ! 7-07)
Pr&xnbed by �he DepaMierrt o( Loral Gavemment Fua
iNSrnucnoNS:s���rsa�;da�am��9�s�,�so�s. JUL 9. 3 20�8
FORM YEAR
HC10 T ATI N
DULY
Subject io iinal acceptance for lrans er
day oi ��— �
v �/ .� � i�r - t'F.l rc�
so County
� i�'�e) ��— ITOR �rti{y on the i y o a . 20_
I(We) occupied as our principal pl of residence Ne folbwi g d�3 real property fw which a Homestea� �mperty Tac Credit is her .
Parce
� I(We) owned ❑ Are buying under contraG
Have a benefidal interest in ihe entity that is liable fw the property taxes on ihe property and that owns the property or is buying under a contrad.
If buymg on conVacl, Fee Simpe owners nama
Recartlefa of6ce where conVad is recardad
Counry Township
(crty, to� h"p) ,
Recard number I Page
Parcel number L a tlescriplion YB r'�-D� I\/ Is Ihe property in ques6on:
� (� �p�J{ l
1l�1 0 n ' n� C�nQw ❑ Real property ❑ Mobile Fbme IIC 61.1-n
If arry portion of Ure residentiai sUUdura p tha Wnd not axceeding orre (1) acre Nal im iatey surtounds Urel slructura is used m produce inmme, descnbe Ure use and pwtion
ot Ne pioperty uUGzed to produce inmme.
ab-1�,-�� -�+vo 003.�.�8�-o"a8' i
-.• . .: . .
County Toxnship Counly Twvnship
I hereby certify �he above statements are true, correct and complete. Sign re ot daim � 1
ess number end sLeeC cdy, sfefe, and LP cotle)
� m e 5-t�
.. , . . .. . ,
„..
Land not exceedirq 1 (orre) acre immediately ( ) : �-i'.:'_� _' =. -' - _
wrroundirgresidentialimprovements. � ','`-t.,%,:��. .
Otlier Wnd (2� ;,s'� :::�'r�'•r;'.`: :
' '::°,;�,`;'.
Tdal land (line 1 plus Ime 2) (g�
Dwellirg (4) �' � ' ...e '%2�
ResidentialimprovementswMnualy �.,; 'x .�+'_.` 'k -� r -'
F�ssessed Mobile I Manufachmed Home -,., f. { Y',-r �.�: y�_
Ga2ge 5 _ = �=
( ) �a . .;i._. ,f r '
� , �..>,<, : - -
Other improvements (6) . . _ r.',� . �
Tdal improvements (line 4 throuqh Grre 6) ���
Tctal value (line 3 p!'s lirre n �g) I
I hereby certify �he above i5 We, correct, arM Signatura ofAssessor Dale signed (monfh, tlay. yea�
complete.
Vaifyirp adion - SignaWre of Auditor Date signed (monfh. day. yeah
2b_pay20_
Lesser of 12
Homestead Valuation
w
45.000 for 2007 pay 2008 42.000 for 2010 pay 2071
44.000 for 2008 pay 2009 47.000 for 2011 pay 2012 §
43,000 for 2009 pay 2010 40,000 payable after 2012
s�au,�e orwa�w. oa�e sg�ed ��m�,, ear. rea.�